4AE-18533-70428

3 vaccinations 12 coded responses 32 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 344 / FL
Registered: 2021-03-12

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal discomfort, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Free text: A little runny nose and throat discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Influenza like illness — Feeling: Good

Free text: Flue like. Symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Free text: A little sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Runny nose, sore throat, eyes irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Influenza like illness, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Tireness, body and throat pain, headache, diarrhea, flue like symptoms. I didnt take a covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Hypertension, Myalgia — Feeling: Good

Free text: Muscles and joints sore, constant high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache since Tuesday , runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — day 7, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Amenorrhoea — Feeling: Good

Free text: I have amenorrhea, no menstrual period

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Vitiligo — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was diagnosed with Vitiligo and looks like it is because the covid vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call 1 — Requested Callback
2022-06-17
Call 2 — Left Voicemail
2022-06-17
Callback requested for
4:00PM ET
2022-12-13
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-09	Moderna
3	2021-12-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): A little runny nose and throat discomfort

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Flue like. Symptoms

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): A little sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Sore throat and runny nose

2021-04-14

Systemic reaction (other): Runny nose, sore throat, eyes irritation

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Runny nose and sore throat

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Tireness, body and throat pain, headache, diarrhea, flue like symptoms. I didnt take a covid test

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Muscles and joints sore, constant high blood pressure

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Headache since Tuesday , runny nose

Release 10 — day 7, dose 3

2021-12-20

Systemic reaction (other): Runny nose

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: I have amenorrhea, no menstrual period

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: I was diagnosed with Vitiligo and looks like it is because the covid vaccine

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Amenorrhoea	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Influenza like illness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Vitiligo	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release